Johanna Villasenor Nardini, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lacey, Washington. Her current practice location is
4405 7th Ave Se Ste 200, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at
(210) 201-2656.
Johanna Villasenor Nardini is licensed to practice in Washington (license number MD61413990) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780046839.
Physician's Profile
Full Name | Johanna Villasenor Nardini |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 4405 7th Ave Se Ste 200, Lacey, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780046839
- Provider Enumeration Date: 03/27/2016
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911292156
- Enrollment ID: I20220126000358
Medical Identifiers
Medical identifiers for Johanna Villasenor Nardini such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780046839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | T0115 (Texas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD61413990 (Washington) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | T0115 (Texas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD61413990 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johanna Villasenor Nardini allows following entities to bill medicare on her behalf.
Entity Name | Nueces County Mental Health & Mental Retardation Community Ctr |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255357828 PECOS PAC ID: 7618954777 Enrollment ID: O20040707000054 |
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Entity Name | Coastal Plains Community Mhmr |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962552109 PECOS PAC ID: 1557337490 Enrollment ID: O20040902000680 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Villasenor Nardini is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Johanna Villasenor Nardini, MD 13423 Blanco Rd Unit 3164, San Antonio, TX 78216-2187 Ph: (201) 210-2656 | Johanna Villasenor Nardini, MD 4405 7th Ave Se Ste 200, Lacey, WA 98503-1055 Ph: (210) 201-2656 |
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